I-Physiotherapy iyindlela eyengeziwe yokwelapha i-Type 1 and Type 2 sikashukela, ingaxazulula izinkinga eziningana ngasikhathi sinye: i-carbohydrate ejwayelekile, i-lipid, amaminerali, i-protein metabolism, inciphise i-glycemia, inyuse inani le-insulin engasebenzi egazini.
Futhi, ngenxa ye-physiotherapy, umphumela we-contra-insular wokungezwani kwama-insulin nabaphikisi be-insulin uyancipha, uhlelo lokujikeleza kwegazi luyashukunyiswa, izinqubo ze-microcirculation kanye nezinqubo ze-metabolic ezicutshini zomzimba ziyathuthuka.
Ukwelashwa okunjalo kuzonyusa ukusebenza kahle, kuthuthukise ukulala, isimo jikelele sesiguli esinesifo sikashukela. Ngaphezu kwalokho, ungafinyelela ukwehla kushukela wegazi, uqinise ukungazigwili.
I-Electrophoresis
I-Electrophoresis isiza ukuthuthukisa isimo sokusebenza kweziqhingi zaseLangerhans, ezikhiqiza i-insulin. Inqubo yenziwa ngokuya ngendlela yeVermel noma esifundeni se-epigastric ngokweqile.
Indlela yokuqala yokuvezwa iboniswa ukwenza ngcono izinqubo ze-redox, ukunciphisa ushukela wegazi.
Kwi-electrophoresis yezidakamizwa, kuyadingeka ukusebenzisa izidakamizwa:
- thinta imishini yokusebenza ngaphakathi ngenxa yokujwayelekile kwemisebenzi yezindlala ze-adrenal;
- thuthukisa umsebenzi we-pancreatic, uholele kuthoni elijwayelekile le-vascular;
- ahlanganyele phosphorylation oxidative wama-carbohydrate, umfutho wegazi ophansi;
- neqhaza ekwehliseni amazinga kashukela wegazi, ukuthuthukisa i-carbohydrate metabolism, ukunciphisa ubukhulu besilinganiso se-insulinase.
Esikhathini sikashukela, i-electrophoresis yenziwa kusetshenziswa i-No-shpa, i-Novocaine nge-iodine, i-Papaverine ngokwendlela esegabeni, izikhathi eziyi-10-12 ziyadingeka. Uma isigaba sesifo sikashukela silinganiselwe noma sibucayi, i-electrophoresis enesisombululo esingu-1% seDibazol noma i-Proserine kanye ne-1% nicotinic acid solution emilenzeni iyadingeka.
Esigabeni se-organic angiopathy, izinqubo zokwelapha ezinjalo zikhonjiswa kuphela ezindaweni ezihlukanisiwe. Iziguli ezine-angiopathy esezingeni eliphansi ziphathwa ngeNovocain endaweni ye-lumbosacral, ebangela i-reflex vasodilation, kanye nokwehla kobuhlungu.
IHydrotherapy
IHydrotherapy iqhathaniswa kahle nezinye izindlela zokwelapha ngokufinyeleleka kwayo kanye nokulula. Ukuphathwa okunjalo kulungele kahle iziguli ezinhlobo lokuqala nesesibili sohlobo lwesifo sikashukela. Ngokuvamile, ezikhungweni zezokwelapha, izinqubo ezilandelayo zinconywa:
- ukugeza;
- obhavu;
- i-balneotherapy;
- ukwelashwa kwamanzi okushisayo;
- i-hydrokinesitherapy;
- ukuhlikihla, ukugabha;
- indlu yokugeza, i-sauna.
Umnyombo wokwelashwa kwesifo sikashukela ngebhavu ngumphumo onenzuzo emzimbeni wejethi lamanzi ngaphansi kokushisa okuthile nokucindezela. I-shawa ingahluka: uthuli, inaliti, ukukhuphuka, iScotland, imvula nokunye.
Ama-bath angaba futhi ahluke, udokotela angakunika ukugeza okuvamile, lapho umzimba wonke wesifo sikashukela ucwiliswa emanzini, kodwa ngaphandle kwekhanda. Kwesinye isikhathi ukugeza kwasendaweni kuba nesizathu lapho kucwiliswa ingxenye eyodwa yomzimba (ingalo, umlenze, i-pelvis). Ngesikhathi senqubo, amanzi okugeza ahlala agcinwa ngezinga elithile lokudlidliza kanye lokushisa.
I-Balneotherapy kufanele iqondwe njengokwelashwa ngamanzi amaminerali, futhi i-hydrokinesitherapy iyinkimbinkimbi yezindlela zokwelapha emanzini nokubhukuda.
Amanzi afudumele (izinga lokushisa ebangeni ukusuka kuma-degrees angama-37 kuye kwangama-42), ukugcobhoza, ukugaya (amanzi abandayo), ama-saunas kanye namageza (isishisi esishisayo) kunomthelela omuhle emzimbeni.
Zonke izinqubo zokupholisa zohlobo lwe-mellitus sikashukela sohlobo 1 no-2 zivusa ukwakheka nokuqhekeka kwamaseli, okuholela kulezi zinqubo ezijwayelekile. Umphumela we-hydrotherapy wamanzi okushisa aphansi unikezwa ngokusheshisa i-metabolism emzimbeni wesifo sikashukela, noma kunjalo, lo mphumela awuhlali isikhathi eside.
I-Physiotherapy inika umphumela omuhle wokubonga kuzindlela ezinjalo:
- izinqubo ezikhulayo ze-metabolic zandisa isidingo somsebenzi womzimba;
- Ukuthuthukisa imizwa yesiguli kusiza ukuvuselela i-metabolism ejwayelekile.
Lapho ukwelashwa kwenziwa ngamanzi afudumele, umphumela onjalo emzimbeni wesiguli awenzeki. Lapho wenza inqubo namanzi afudumele kakhulu, okubangela ukweqisa, i-metabolism nayo isheshisiwe.
Naphezu kokulula kwayo okusobala, i-physiotherapy yesifo sikashukela ingathwala ingozi ethile. Isibonelo, i-hydrotherapy kungcono ukungayisebenzisi ezimweni zokuphazamiseka kwegazi le-cerebral ne-coronary, ukuphazamiseka kwe-hypertension okukhulu, i-angina pectoris, ukwanda kwezifo zokuvuvukala, i-thrombophlebitis engapheli, ukuhluleka kokujikeleza kwegazi, isigaba 1-B nangaphezulu.
Kufanele wazi ukuthi iziguli ezinesifo sikashukela sohlobo olubi nohlobo 1 zenqatshelwe ngokuphelele ukwenza izinqubo ezinzima, okungukuthi ama-shawa:
- Charcot;
- IScotland
- ukugeza umhluzi.
Ukwelashwa kwesifo sikashukela ngamanzi kudinga ukubonisana kwangaphambili nodokotela uma isiguli sinenkinga yokuqina kwamathambo ngesikhathi sokukhulelwa.
I-Magnetotherapy
Ukwelashwa okuphelele kwesifo sikashukela kubandakanya nokusetshenziswa kwe-magnetotherapy, umongo wenqubo uwumphumela omuhle wenzuzo kazibuthe kushukela. Njengomthetho, i-magnetotherapy imiselwe ama-pancreas.
Ngokwesilinganiso, isikhathi sokwelashwa siyizinqubo eziyi-10-12, kuthi ngemuva kwezikhathi zokuqala ezingama-3-5, onesifo sikashukela azobona ukwehla okungaguquki kwamazinga kashukela egazini.
I-Magnetotherapy iyindlela enhle yokwelashwa uma isiguli sitholakala sinesifo sikashukela se-diabetes, ngoba amandla kazibuthe aqinisa imithambo yegazi, anesthetizes futhi anikeze nomphumela ogonyayo.
I-Inductometry yemilenze isiza ukulwa ne-neuropathy ne-angiopathy, le ndlela ifaka ukusetshenziswa kwensimu enamandla kazibuthe ephezulu.
Inqubo isiza ukwandisa i-microcirculation yegazi, i-lymph, ithuthukise isimo sesifo sikashukela.
I-oxygenation, i-ultrasound
Uhlobo lokuqala nolwesibili lwesifo sikashukela lungelashwa nge-oxygen, olunikezwa ngaphansi kwengcindezi ephezulu, inqubo ebizwa nge-oxygenation. Ukwelapha kusiza ukuqeda noma yiziphi izinhlobo ze-hypoxia ezivame ukuhlangana nabantu abanesifo sikashukela.
Inkambo ephelele ye-oxygenation ihlala izinqubo eziyi-12- 12, kepha ngokuya ngokubonwa kodokotela, amandla aphikelelayo aqhubekayo abonwa ngemuva kwamaseshini ambalwa (isikhathi esisuka kumaminithi angama-40 kuye kwangama-60).
Ngemuva kwesifundo, isiguli singalindela ukwehla okukhulu kwesamba se-insulin, eminye imithi ebalulekile. Njengoba wazi, kwisifo sikashukela, igazi alihambisi kahle i-oxygen, ngenxa yalokho indlala yomoya-mpilo yathuthukisa:
- izinhlelo zomzimba;
- izicubu;
- izitho zomzimba.
Ukwelashwa kwe-oksijini kuqeda i-hypoxia kanye neminye imiphumela yesifo sikashukela, isiguli sithuthukisa kakhulu ukuzwa, umbono, ukugeleza kwegazi, kuvumele umsebenzi wamaseli we-pancreatic nezinye izitho zomzimba.
I-oxygenation ifaka ukusetshenziswa kwe-oxygen foam, okuwusizo ikakhulukazi ukukhuluphala, okuyinkinga efanayo yesifo sikashukela. Ama-oksijini ama-oksijini asiza ukulwa nesisindo ngokweqile, njengoba igwebu ligcwalisa isisu, linikeza umuzwa wokugcwala futhi lingakuvumeli ukweqile, ngaleyo ndlela kunqotshwe isifo sikashukela.
Uma usebenzisa i-oxygen foam izikhathi ezingama-2-3 ngosuku ngehora elilodwa ngaphambi kokudla, inhlala-kahle yakho ithuthuka ngokushesha okukhulu. Inkambo yokwelashwa ingaqala ezinyangeni ezintathu kuya kweziyi-6, kuya ngobunzima besifo, isifo sikashukela.
I-Physiotherapy ingafaka ukusetshenziswa kwendlela yokwelashwa kwe-ultrasound, nayo ebangela umphumela we-hypoglycemic. Umphumela we-ultrasound kumanyikwe unikezwa, amaseshini enziwa nsuku zonke izinsuku eziyi-10.
Uma wenza isibindi, umuntu onesifo sikashukela une:
- ukuthuthuka kwe-carbohydrate metabolism;
- ukuguquguquka kokugeleza kwegazi esibindini.
I-Ultrasound ilungele labo abanesifo sikashukela esibi lapho bexilongwa isifo sikashukela.
Kulokhu, kunesidingo sokwenyusa inkambo yokwelashwa izinqubo eziyi-12.
I-acupuncture, i-plasmapheresis, i-ozone therapy
Akunakwenzeka ukwedlula umphumela womzimba we-acupuncture ku-neuropathy yesifo sikashukela, ngenxa yenqubo:
- ukuthuthukiswa kokuhanjiswa kwezinzwa;
- ukuzwela okwengeziwe kwemilenze;
- ukuncishiswa kobuhlungu.
I-acupuncture, i-acupuncture, i-acupuncture kanye nesifo sikashukela kuyanconyelwa abanesifo sikashukela abaningi.
Lapho izinkinga ezinoshukela wegazi zihambisana nezinkinga ze-septic kanye nokwehluleka kwezinso, kunconywa ukuthi abantu abanesifo sikashukela bahlelwe yi-plasmapheresis. Le nqubo isiza ekuhlanzeni igazi, i-plasma yegazi lesiguli ithathelwa indawo yizinto ezikhethekile.
Ngesikhathi sokwelashwa kwe-ozone yesifo sikashukela, ukuvuleka kwezindonga zeseli kukhuphuka koshukela, okunciphisa i-hyperglycemia. I-Ozone izothuthukisa umsoco ushukela kumaseli abomvu egazi, ngenxa yalokho, izicubu zizothola umoya-mpilo omningi, bese kuthi i-hypoxia iqedwe ngokuhamba kwesikhathi.
Le ndlela yokwelapha isiza ukuvikela izinkinga eziyingozi:
- i-arthropathy;
- i-angiopathy;
- i-neuropathy.
Ngaphezu kwalokho, umuntu onesifo sikashukela uthola umphumela we-immunomodulatory. Wonke umuntu uyazi ukuthi ngesifo sikashukela sohlobo loku-1, iziguli zinethuba lezinqubo zokuvuvukala nezifo ezingamahlalakhona ngenxa yokuvikelwa kokuzivikela komzimba. Ngalesi sizathu, ukwelashwa kwe-ozone kungenye yezindlela eziphumelela kakhulu zokuqeda ushukela wohlobo 1. Ividiyo ekulesi sihloko izoqhubeka nesihloko sokwelashwa kwesifo sikashukela nge-physiotherapy.
